# BRIARGATE PEDIATRIC DENTISTRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790997161
- **Authorized official:** DR. EDWARD A SOUZA D.M.D. (PRESIDENT)
- **Authorized official phone:** (719) 260-1600

## Contact information

- **Practice address:** 3466 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
- **Practice address phone:** (719) 260-1600
- **Practice address fax:** (719) 260-1640
- **Mailing address:** 3466 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-4168
- **Mailing address phone:** (719) 260-1600
- **Mailing address fax:** (719) 260-1640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7823 | CO | Yes |

## Other

- **Enumeration date:** 05/05/2007
- **Last updated:** 08/22/2020